Open AccessOligometastatic Growing Teratoma Syndrome: A Case for an Aggressive Surgical Approach
Author(s) -
William S. Gange,
Robert H. Blackwell,
John Biemer,
Güliz A. Barkan,
Maria M. Picken,
Marcus L. Quek
Publication year - 2016
Publication title -
current urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.476
H-Index - 13
eISSN - 1661-7657
pISSN - 1661-7649
DOI - 10.1159/000447134
Subject(s) - medicine , teratoma , surgery , presentation (obstetrics) , stage (stratigraphy) , thigh , germ cell tumors , disease , chemotherapy , thorax (insect anatomy) , metastasis , cancer , pathology , anatomy , paleontology , biology
Growing teratoma syndrome is an infrequent presentation of testicular cancer. We present a case of growing teratoma syndrome in a patient who initially presented with clinical stage I nonseminomatous testicular germ cell tumor, who subsequently developed large volume oligometastases to the retroperitoneum, thorax, and thigh. Despite two regimens of chemotherapy, his disease progressed. Complete surgical extirpation of all gross tumors confirmed mature teratoma. An aggressive surgical approach, including postchemotherapy resection of all known metastatic sites, can provide long-term disease-free survival.